Z-Plasty: A Concise Review

Christopher R. Hove; Edwin F. Williams III; Bret J. Rodgers

doi:10.1055/s-2001-18828

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2001; 17(4): 289-294
DOI: 10.1055/s-2001-18828

Z-Plasty: A Concise Review

Christopher R. Hove¹ , Edwin F. Williams, III² , Bret J. Rodgers³

¹Section of Facial Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, CA
²Section of Facial Plastic and Reconstructive Surgery, Albany Medical Center, Albany, NY
³Rodgers Center for Facial Plastic Surgery, Boise, ID

Abstract

ABSTRACT

One of the most commonly used techniques in facial plastic surgery is the Z-plasty. Main reasons to perform these transposition flaps are to lengthen a pre-existing scar, to camouflage a scar, or to realign a scar. The classic 60° Z-plasty allows a 75% increase in scar length and is the cornerstone against which all variations are compared. Understanding the classic Z-plasty permits the surgeon to expand his or her repertoire to include the numerous variations thereof. The double-opposing Z-plasty, unequal triangle Z-plasty, four-flap Z-plasty, compound Z-plasty, and planimetric Z-plasty are the most frequent variants of the basic Z-plasty. Each are presented with illustrations and clinical indications.

KEYWORD

Z-plasty - transposition flaps - scar revision

Full Text

References

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